Senior Payroll & Benefits Specialist

About Us

At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again".

The Senior Payroll & Benefits Specialist will manage full-cycle payroll, core benefits administration, leave pay calculations, and related compliance for employees across the U.S. and Canada. You will own regular payroll processing for a growing, multi-state and multi-province salaried and hourly workforce, and administer health, welfare, wellness, and retirement programs. Experience with Rippling or similar HRIS/payroll platforms is an asset but not required.

This mid-level role is designed for someone with 5–6+ years of experience who is highly detail-oriented, independently driven, and comfortable taking ownership during key coverage periods, including vacation backup for leadership. You will be a key operational partner to Payroll, People, Finance, and our U.S. and Canada benefits brokers, helping deliver an exceptional employee experience.  

This is a remote role with preference for candidates in the U.S. Pacific Time Zones

Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives!

What You'll Do

Payroll execution

• Process bi-weekly and semi-monthly payrolls for a multi-state U.S. and multi-province Canadian workforce, including both salaried and hourly employees.
• Calculate and process leave-related pay (e.g., U.S. statutory/state leaves, employer top-ups, Canadian EI-related leaves, and company top-ups), ensuring correct earnings codes, offsets, and taxation for both countries.
• Provide backup support for contractor payroll processing during coverage periods, ensuring accurate and compliant payments when the primary owner is out.
• Review and validate payroll inputs such as hours worked, overtime, bonuses, commissions, retroactive pay, off-cycle payments, and leave pay adjustments.
• Ensure accurate calculation and application of benefit and retirement deductions each payroll cycle.
• Prepare and process Records of Employment (ROEs) for Canadian employees in accordance with Service Canada requirements.
• Maintain strong internal controls and support continuous improvement of payroll processes and documentation.

Taxation and compliance

• Manage new state and provincial payroll tax registrations and ensure proper configuration in payroll systems.
• Monitor and apply multi-state and Canadian provincial payroll tax rules, including taxation of benefits, leave payments, and fringe compensation.
• Liaise with U.S. state agencies, the IRS, and the CRA for registrations, filings, updates, notices, and issue resolution.
• Support workers’ compensation setup and classification, ensuring correct wage reporting and alignment with payroll and benefits data.
• Assist with compliance activities related to retirement plans (e.g., 401(k) or equivalent), including contribution limits, corrections, and year-end processes.

Benefits administration (U.S. and Canada)

• Administer day-to-day benefits operations for U.S. and Canada employees, including medical, dental, vision, life, disability, and wellness programs.
• Manage end-to-end benefits enrollment processes for new hires, qualified life events, and terminations, ensuring accurate and timely updates in HRIS, payroll, and carrier/broker systems.
• Maintain and apply benefits eligibility rules and waiting periods across multiple plans and jurisdictions, including distinctions by employment status, hours, and location.
• Coordinate with benefits brokers and carriers in the U.S. and Canada on enrollments, file issues, escalations, and plan operations.

Benefits auditing, reporting, and ACA

• Perform regular audits of benefits deductions, carrier invoices, and enrollment data to identify and resolve discrepancies between HRIS, payroll, carriers, and brokers.
• Support ACA administration, including tracking hours for measurement/stability periods, monitoring eligibility, and ensuring accurate coding for offers of coverage and reporting.
• Assist with the preparation of required benefits and payroll reports, including audit support, non-discrimination testing, and government filings.
• Partner with Finance to reconcile payroll, benefits, and retirement plan data and maintain audit-ready documentation.

Employee, broker, and wellness support

• Respond to employee payroll and benefits inquiries in a clear, timely, and service-oriented manner, explaining pay calculations, leave pay, deductions, eligibility, and plan details.
• Support contractor-related questions during coverage periods, escalating complex issues as needed.
• Build and maintain strong working relationships with the U.S. and Canada benefits brokers and vendors, supporting day-to-day issue resolution and small process improvements.
• Support wellness program administration, including eligibility management, communications, incentives, and coordination with internal teams and external partners.
• Collaborate closely with People and HR Operations to ensure employee records are accurate and changes are consistently reflected in payroll, benefits, and leave pay calculations.

What You’ll Bring

• 5–6+ years of hands-on, end-to-end payroll experience covering both U.S. and Canadian employees (salaried and hourly).
• Direct experience administering benefits across the full lifecycle (enrollment, changes, terminations, leaves) in the U.S., with exposure to Canadian benefits strongly preferred.
• Demonstrated experience calculating and processing leave-related pay for U.S. and Canadian employees, including coordination with state programs, insurers, and Canadian EI/top-up designs.
• Strong working knowledge of multi-jurisdiction payroll and benefits regulations, including FLSA, ACA, and key Canadian programs such as EI and CPP/QPP.
• Experience supporting a mid-to-large employee population (approximately 1,000+ employees) in a high-growth or multi-location environment.
• Practical experience with retirement plans (e.g., 401(k) or equivalent), including eligibility, enrollments, deferral changes, and annual contribution limits.
• Demonstrated ability to reconcile benefits invoices, audit deductions, and partner with vendors/brokers to resolve discrepancies.
• Proficiency with modern cloud-based HRIS/payroll platforms; experience with Rippling is a strong asset but not required.
• Strong Excel skills for reporting and reconciliations.
• Excellent attention to detail, strong analytical skills, and a service-oriented mindset with the ability to handle sensitive information confidentially.
• Payroll or benefits-related certifications (e.g., U.S. or Canadian payroll certification, CEBS, or similar) are an asset.

Our Values 

First: we are Pioneers

• Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding.

Second: we are Platform-Builders

• We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission.

Above all: we are Patients

• We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work.

What We Offer

• An avenue to make a positive impact on people's lives and their health
• We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member 
• Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way
• Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize 
• Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it
• We now offer the Prenuvo’s Commuter Benefits Plan to help cover your transit and parking costs. Whether you ride, drive, or park, we’ve got you covered—making your commute easier and more affordable! 
• Retirement made easy! We offer a 401(k) plan to our US employees to  help you save for the future, with company contributions to support your financial goals. Plan for tomorrow while you grow with us today!
• We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family
• The base salary for this role ranges from $90,000-$118,000 in local currency, depending upon experience

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules.

Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to [email protected].